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Tricuspid valve perforation by permanent pacemaker lead--a case report.
Izzet Erdinler1, Ertan Okmen, Onur Turek
1Siyami Ersek Cardiovascular and Thoracic Surgery Center, Istanbul, Turkey.
Angiology
|September 30, 2005
Summary
Tricuspid valve perforation from pacemaker leads is a rare complication. This case highlights successful diagnosis during surgery and treatment by lead removal and valve repair.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Device Complications
Background:
- Transvenous pacemaker implantation is a common procedure for managing bradyarrhythmias.
- Complications, though infrequent, can arise from implanted cardiac electronic devices.
- Tricuspid valve perforation by pacemaker leads is an exceptionally rare event.
Observation:
- A patient presented with a pacemaker lead causing tricuspid valve perforation.
- Diagnosis was established during an open-heart surgical procedure.
- The perforation was identified as a complication of transvenous pacemaker implantation.
Findings:
- Successful surgical intervention was performed to address the tricuspid valve perforation.
- The pacemaker lead was removed, and the perforated tricuspid valve was successfully sutured.
- This represents a rare instance of intraoperative diagnosis and successful management.
Implications:
- Highlights the importance of considering rare complications even with routine procedures.
- Demonstrates the feasibility of surgical correction for pacemaker lead-induced tricuspid valve perforation.
- Contributes to the limited literature on managing this specific cardiac device complication.